Organization Active NPI

Tolands Venture Inc

Doing business as Glovers Rexall Pharmacy

  • Community/Retail Pharmacy
  • Midland, MI
National Provider Identifier
1184790289
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005982 Issued in MI
Legal business name
TOLANDS VENTURE INC
Doing business as
Glovers Rexall Pharmacy
Practice address
4000 Jefferson Ave
Midland, MI 48640-3528
Phone
(989) 839-9975
Fax
(989) 839-1010
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theodore Toland, BSNPI 1104358290
Title
Owner Pres
Phone
(989) 839-9975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301005982 MI Primary

Addresses

Primary practice location

4000 Jefferson Ave
Midland, MI 48640-3528

Mailing address

4000 Jefferson Ave
Midland, MI 48640-3528
Phone (989) 839-9975

Other identifiers 2

IdentifierTypeStateIssuer
2352172OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2988901MedicaidMI

Other names 1

  • GLOVERS REXALL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4000 Jefferson Ave
Midland, MI 48640
Phone (989) 839-9975

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1184790289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403528",
            "telephone_number": "989-839-9975",
            "fax_number": "989-839-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403528",
            "telephone_number": "989-839-9975",
            "fax_number": "989-839-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLANDS VENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "TOLAND",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "989-839-9975",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2352172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2988901",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOVERS REXALL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.